Individual
KAYDAWN MECHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSUDC
Contact information
Practice address
2740 PENNSYLVANIA AVE, OGDEN, UT 84401-3320
(385) 445-4553
Mailing address
2740 PENNSYLVANIA AVE, OGDEN, UT 84401-3320
(801) 675-5624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10157602-6006
UT
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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